Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003994104 Individual Practitioner Female Practitioner

Karen Jane Bandusch Harris , PA-C

Physician Assistant • Normal, IL

Professional Overview & Biography Verified Profile Summary

Karen Bandusch Harris, PA-C is a registered healthcare professional specializing in Physician Assistant in Normal, IL. Practice services are available at 405 KAYS DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

405 Kays Drive

Normal, IL 61761

Telephone 3098620064
Fax 3098621542
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Normal, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-000712

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IL 085 000712

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
588330 (IL)
Commercial Insurance / Payer ID Health Alliance
084278
Commercial Insurance / Payer ID Osf Health Plan Cp
588330
Commercial Insurance / Payer ID Bcbs
5723204
Commercial Insurance / Payer ID Rr Medic
CK5970

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Virginia Moody , MD

Psychiatry & Neurology - Psychiatry

NPI 1255419362

Doctor of Medicine (M.D.)

Susan Keogh , LCPC

Counselor - Professional

NPI 1548348659

Licensed Clinical Professional Counselor

Jacquelyn Mitra , LCPC

Counselor - Mental Health

NPI 1619121373

Licensed Clinical Professional Counselor

Dawn Leedie , LPCP

Counselor - Professional

NPI 1881820405
Dr. Raju Paturi , MD

Psychiatry & Neurology - Psychiatry

NPI 1912085010

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2010

Registered at 405 KAYS DRIVE, NORMAL, IL 61761 (Tel: 3098620064)

📍
Updated Business Mailing Address January 15, 2010

Registered at 1400 LISMORE LANE, NORMAL, IL 61761 (Tel: 3098889816)

👤
Provider Name / Credentials Updated January 15, 2010

Recorded as KAREN BANDUSCH HARRIS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2010

Physician Assistant (License #085-000712 in IL)

🟢
Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003994104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: January 15, 2010
Sole Proprietor: No

Mailing Address

1400 Lismore Lane

Normal, IL 61761

Phone: 3098889816

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.